<unavail> in Portland, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Portland, Oregon. The current practice location for is 1438 Se Division St, Portland, Oregon. For appointments, you can reach them via phone at (503) 548-0346. The mailing address for is 1776 Sw Madison St, Portland, Oregon and phone number is (503) 224-1044.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619106945. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 548-0346.

Contact Information


	1438 Se Division St Portland OR 97202
	(503) 548-0346
	(503) 232-5959

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1438 Se Division St, Portland, Oregon
Authorized Official Name and Position	Sarah Ayers (CREDENTIALING SPECIALIST)
Authorized Official Contact	5033679089
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1776 Sw Madison St Portland OR 97205 Ph: (503) 224-1044	1438 Se Division St Portland OR 97202 Ph: (503) 548-0346

NPI Details:

NPI Number	1619106945
Provider Enumeration Date	07/08/2009
Last Update Date	03/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2668361585
Medicare Enrollment ID	O20100707000171

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619106945	NPI	-	NPPES
126370	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QF0400X	Clinic/center - Federally Qualified Health Center (fqhc)	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514

- Medicare Primary Care in Portland, OR